7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityWatch

65th national percentile — 5.6% high-severity citations

ChronicityLow

23th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropWatch

50th national percentile — 15.5%

Contract staff shareElevated

73th national percentile — 6.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 6.28 vs expected 6.87 · −0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Mar 28, 2024 · Isolated — immediate jeopardy
F-0640
D
Encode each resident’s assessment data and transmit these data to the St…
Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: May 12, 2022 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: May 12, 2022 · Isolated — no actual harm with potential for more
F-0689
E
Ensure that a nursing home area is free from accident hazards and provid…
Potential Harm↻ Repeat

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: May 12, 2022 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 21, 2020 · Isolated — no actual harm with potential for more
F-0524
D
Ensure that gas fire places are out of the reach of patients and can be …
Minimal Harm

Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

Survey date: Feb 21, 2020 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Mar 7, 2019 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 7, 2019 · Isolated — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
KIRBY PINES MANOR
17.7 km · MEMPHIS, TN
★★★★★
CMS
22th
Risk %ile
Lower risk
ALLEN MORGAN HEALTH AND REHABILITATION CENTER
9.0 km · MEMPHIS, TN
★★★★★
CMS
25th
Risk %ile
Lower risk
SIGNATURE HEALTHCARE OF PRIMACY
13.7 km · MEMPHIS, TN
★★★★★
CMS
35th
Risk %ile
Lower risk